Provider Demographics
NPI:1114112141
Name:HERNANDEZ, ARTURO (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARTURO
Other - Middle Name:R
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11680 PEBBLE HILLS BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-1090
Mailing Address - Country:US
Mailing Address - Phone:915-313-7322
Mailing Address - Fax:915-313-7324
Practice Address - Street 1:11680 PEBBLE HILLS BLVD
Practice Address - Street 2:SUITE 107-109
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-1090
Practice Address - Country:US
Practice Address - Phone:915-313-7322
Practice Address - Fax:915-313-7324
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBT10025756207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine